Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Raymond Frederic Grenfell III, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1780899922

Dr. Raymond Frederic Grenfell III, MD is an Endocrinology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2005, 21 years ago. Practices with Diabetes and Endocrine Center of MS, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

971 Lakeland Dr St Dominic West Tower Ste 450
Jackson, MS 39216-4643
Phone: (601) 948-5158
Fax: (601) 326-4265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 21031 (MS)

Record details

NPI number1780899922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Diabetes And Endocrine Center Of Ms — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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